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3190 E Meridian Park Loop Ste 205, Wasilla, AK 99654-7422 | |
(907) 569-3668 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 3190 E Meridian Park Loop Ste 205, Wasilla, Alaska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1922566652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2250 E 42nd Ave Ste 200, Anchorage, AK 99508-5202 Ph: (907) 569-3668 | 3190 E Meridian Park Loop Ste 205, Wasilla, AK 99654-7422 Ph: (907) 569-3668 |